As in Amsterdam [1], the impetus for UK guidelines for hygienic tattooing came from an outbreak of hepatitis B caused in 1978 by a tattooist. The outbreak resulted in 30 primary and three secondary cases [2]. Guidelines for hygienic tattooing followed soon after, and were taken up, fairly enthusiastically on the whole, by the tattooists. These were expanded in 1982 to include acupuncture, ear-piercing and hair electrolysis. Laws to control the hygiene of these practitioners were introduced at the same time {Local Government Miscellaneous Provisions Act 1982 [amended 2003] and the Greater London Council [General Powers] Act 1982}. Body piercing was hardly heard of at the time: although it was undoubtedly and somewhat furtively practised, it was not as popular or as open as it is now. Guidelines for beauty therapy, hygienic hairdressing and micropigmentation followed.